Gluteal nerve damage following total hip arthroplasty. A prospective analysis.
Injuries to the peroneal or tobial divisions of the sciatic nerve occur in approximately 0.7-7.6% of patients undergoing total hip arthroplasty. No prior studies have investigated the incidence of injury to the superior or inferior gluteal nerves during hip surgery. This study evaluates the incidence of injury to the superior and inferior gluteal nerves in 55 patients undergoing total hip arthroplasty using a newly devised EMG scoring system. Subclinical gluteal nerve injury was documented in over 77% of patients, whether a posterior or a lateral approach to the hip was used.
Abitbol
J J
JJ
Division of Orthopaedics and Rehabilitation, University of California, San Diego 92103.
Gendron
D
D
Laurin
C A
CA
Beaulieu
M A
MA
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002081:Buttocks / Q000294:innervation*; D004576:Electromyography; D005260:Female; D006622:Hip Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009132:Muscles / Q000294:innervation / Q000503:physiopathology; D059348:Peripheral Nerve Injuries; D010525:Peripheral Nerves / Q000503:physiopathology; D011446:Prospective Studies